Organization
BLUE HERON CHIROPRACTIC, LLC
Active
Organization
BLUE HERON CHIROPRACTIC, LLC
Active
Other names
Blue Heron Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
CLAIRE RUSSELL DC (OWNER)
(425) 616-2440
Entity
Organization
Contact information
Practice address
716 3RD ST UNIT B, MUKILTEO, WA 98275-1548
(425) 616-2440
(425) 332-7078
Mailing address
19308 76TH AVE W, EDMONDS, WA 98026-6201
(425) 750-6568
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CH60517781
WA
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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